| NPI | 1255757886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA OP60897566) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 233037) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS022584) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 70322) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSCOMLIC147302) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID 2971039) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2025-09-30 |