| NPI | 1023278868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 87594) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX P3202) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2022-01883) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-11-18 |