| NPI | 1417945932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301507714) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX G7971) |
| 207ZC0500X Pathology, Cytopathology (Licence: MS 25714) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2022-09-26 |