| NPI | 1770703480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301089441) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: MI 4301089441) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-11-06 |