| NPI | 1740360221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 16668) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MS 16668) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-02-09 |