| NPI | 1316195134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO DR.0061212) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MI 4301101744) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301101744) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301101744) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AZ R70744) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2022-11-03 |