| NPI | 1063821940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME169353) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AR E-1000) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 27989) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-09-16 |