| NPI | 1992241970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 273457) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: ZZ 200907580) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: ZZ 282857948) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2018-12-28 |