| NPI | 1134359771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 337827) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10032162) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GU m-1906) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-11-30 |