| NPI | 1598179236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: FL ME145567) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: UT 11275367-1205) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-05-29 |