| NPI | 1356725709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: UT 13284729-1205) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: UT 13284729-1205) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-12-04 |