| NPI | 1447419445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q0592) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: TX BP10045608) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-04-06 |