| NPI | 1770554396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: SC 22308) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: SC 22308) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 22308) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2016-02-04 |