| NPI | 1538315106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2016019190) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MO 2016019190) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2016019190) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-04-25 |