| NPI | 1396164802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MS 25784) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 37055) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2022-11-09 |