| NPI | 1467637025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 64444) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CT 64444) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 258550) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CT 64444) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 258550) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2019-10-22 |