| NPI | 1497837074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 20377) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NE 20377) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-01-17 |