| NPI | 1083123673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: NE 6548) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA MD475752) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD475752) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: PA MD475752) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-06-16 |