| NPI | 1992968952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2015-00470) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NC 2015-00470) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-08-09 |