| NPI | 1376823179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD61203491) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: WA MD61203491) |
| 207ZH0000X Pathology Hematology (Licence: MI 4301106629) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: WA MD61203491) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: IL 036135996) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01078110A) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2021-09-30 |