| NPI | 1003202565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 898997) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 29425) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D86090) | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2024-01-02 |