| NPI | 1942823794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101281321) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: VA 0101281321) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2026-06-26 |