| NPI | 1073929659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 35636) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: FL ME145979) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME145979) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301105054) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2025-08-18 |