| NPI | 1295910909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2009-0485) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N4772) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 000716) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2023-07-21 |