| NPI | 1073962684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301500839) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301109785) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10070181) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 5315076110) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-05-20 |