| NPI | 1902195175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT195181) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD448535) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD448535) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-04-11 |