| NPI | 1639169592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: CA A77831) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A77831) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: CA A77831) | |
| 207ZH0000X Pathology, Hematology (Licence: CA A77831) | |
| 207ZI0100X Pathology, Immunopathology (Licence: CA A77831) | |
| 207ZN0500X Pathology, Neuropathology (Licence: CA A77831) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A77831) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A77831) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: CA A77831) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2022-06-02 |