| NPI | 1467519454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60416900) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHYS-LIC-27714) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 8262) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID M-12267) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-09-30 |