| NPI | 1013939305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ME MD26612) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 24884) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-32459) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 245137) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-06-23 |