| NPI | 1427264498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: GA 077410) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: GA 077410) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-11-22 |