| NPI | 1184831299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 43.01106774) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 43.01106774) |
| 207ZD0900X Pathology, Dermatopathology (Licence: MI 43.01106774) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-09-18 |