| NPI | 1225103625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60414708) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSLIC117750) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID M-12422) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 45956) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 8277) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD161352) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-19 |