| NPI | 1942754411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD207329) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: OR MD207329) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: OR MD207329) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-11-03 |