| NPI | 1629179429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301500913) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: MI 4301500913) |
| 207ZC0500X Pathology Cytopathology (Licence: MA 219516) | |
| 207ZC0008X Pathology Clinical Informatics (Licence: MI 4301500913) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-05-18 |