| NPI | 1528804093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX BP20093431) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: TX BP10089973) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-05-27 |