| NPI | 1487232203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A200937) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A200937) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-07-07 |