| NPI | 1932457264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A136668) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A136668) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A136668) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 247983) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-03-18 |