| NPI | 1457814592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD61520294) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: AK 218772) |
| 207ZC0500X Pathology, Cytopathology (Licence: UT 11885429-1205) | |
| 207ZC0500X Pathology, Cytopathology (Licence: WA MD61520294) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID MC-2609) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSCOMLIC132427) | |
| 207ZC0500X Pathology, Cytopathology (Licence: MT MEDPHYSCOMLIC132427) | |
| 207ZC0500X Pathology, Cytopathology (Licence: ID MC-2609) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 11885429-1205) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 218772) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2025-10-01 |