| NPI | 1114248879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 214872) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A145061) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AK 214872) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IL 125057726) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-03-07 |