| NPI | 1548294465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 074907) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: LA 200576) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: LA 200576) | |
| 207ZC0500X Pathology, Cytopathology (Licence: LA 200576) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-02-01 |