| NPI | 1346347226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A38981) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA A38981) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A38981) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-05-26 |