| NPI | 1477635381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 19516) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AZ 19516) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-07-21 |