| NPI | 1083874978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD61532902) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: WA MD61532902) |
| 207ZN0500X Pathology Neuropathology (Licence: NY 249260) | |
| 207ZN0500X Pathology Neuropathology (Licence: MT MEDPHYSLIC142204) | |
| 207ZN0500X Pathology Neuropathology (Licence: AK 226337) | |
| 207ZN0500X Pathology Neuropathology (Licence: ID 7461370) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 249260) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AK 226337) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSLIC142204) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ID 7461370) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2025-08-19 |