| NPI | 1154521482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301081938) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301081938) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OH 35-093393) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: OH 35-093393) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: MI 4301081938) | |
| 207ZC0500X Pathology, Cytopathology (Licence: OH 35-093393) | |
| 207ZC0500X Pathology, Cytopathology (Licence: MI 4301081938) | |
| 207ZI0100X Pathology, Immunopathology (Licence: OH 35-093393) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: OH 35-093393) | |
| 207ZN0500X Pathology, Neuropathology (Licence: OH 35-093393) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: OH 35-093393) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35-093393) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35-093393) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: OH 35-093393) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 35-093393) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-03-24 |