| NPI | 1144515412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S7529) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 33778) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 305347) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-26 |