| NPI | 1144248865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 71340) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2000155013) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD52349) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-02-20 |