| NPI | 1720421290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM md2017-0765) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: AZ 56886) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-06-17 |