| NPI | 1972273530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101284132) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0116036080) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-06-12 |