| NPI | 1265798425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 95926) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: GA 95926) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-06-06 |