| NPI | 1487896981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: ZZ 38574) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: PA MD455343) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD455343) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2022-11-18 |