| NPI | 1992913966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 49114) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: VA 0101238199) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-07-16 |