| NPI | 1487844874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60483561) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID M-12818) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSLIC34411) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 155089) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 9106792-1205) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD186784) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-09-19 |