| NPI | 1386641900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 93-275) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA aq-96-239) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2021-12-01 |