| NPI | 1417377318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301105037) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MI 4301105037) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2020-06-10 |