| NPI | 1346450715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 60538) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: AZ 60536) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301081521) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 60536) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-10-02 |