| NPI | 1205046265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: SD 9067) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IA 37371) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SD 9067) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 37371) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA R-7240) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-09-04 |