| NPI | 1972023521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A164008) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A164008) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2023-09-26 |