| NPI | 1356361042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301075459) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301075459) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-05-17 |