| NPI | 1740424464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NC 2016-01892) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101251070) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101251070) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2021-04-09 |