| NPI | 1326273772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: UT 12182888-1205) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CT 050631) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 050631) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-03-17 |