| NPI | 1275928350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: CO DR.0072148) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP185) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2024-01-17 |