| NPI | 1134138530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 057270) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: SC 28549) |
| 207ZC0500X Pathology, Cytopathology (Licence: GA 057270) | |
| 207ZC0500X Pathology, Cytopathology (Licence: FL 103245) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 28549) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 103245) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-08-29 |