| NPI | 1477996114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A157850) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A157850) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301111383) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-07-01 |