NPI | 1306462932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME173545) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4351046364) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 977806) | |
Enumeration Date | 2020-06-19 |
Last Update Date | 2025-07-14 |