| NPI | 1386716595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: WI 35174-20) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 35174-20) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX S6496) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2026-06-04 |