| NPI | 1831611276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 282283) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MA 282283) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-06-15 |