| NPI | 1003883455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00015080) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID MC-2343) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSCOMLIC129188) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 213633) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0052835) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2025-09-30 |