| NPI | 1073734794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME182553) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 67958) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 99058473A) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VT 0600003440) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301504318) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2026-09-01 |