| NPI | 1851389456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2017-01085) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IA 27765) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-07-15 |