| NPI | 1386006310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-49821) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IA MD-49821) |
| 207ZC0500X Pathology, Cytopathology (Licence: AR E-14321) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-14321) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY IP1521) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-09-16 |