| NPI | 1396792099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G24156) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: CA G24156) |
| 208000000X Pediatrics (Licence: CA G24156) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-11-24 |