| NPI | 1326420761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NC 2023-03350) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2023-03350) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AL MD.42574) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-08-20 |