| NPI | 1245539048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2022031312) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 0546516) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 20A 9368) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-07-28 |