| NPI | 1245386226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 113114) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MO 113114) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 04-41424) | |
| 207ZC0500X Pathology, Cytopathology (Licence: KS 04-41424) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2026-06-15 |