| NPI | 1124227715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS026047) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 101545) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL DO.2845) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA DO.000021) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2026-07-08 |