| NPI | 1215905633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A062287) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A62287) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 84245) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00040009) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-04-03 |