| NPI | 1013351782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 77019) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: GA 77019) |
| 207ZC0500X Pathology, Cytopathology (Licence: AL MD.45224) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.45224) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-04-11 |