| NPI | 1376599225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TX L5213) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: TX L5213) |
| 207ZN0500X Pathology Neuropathology (Licence: OK 18717) | |
| 207ZN0500X Pathology Neuropathology (Licence: VT 8069) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: TX L5213) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: OK 18717) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: VT 8069) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: OK 18717) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: VT 8069) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-02-28 |