| NPI | 1508184516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD61036587) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA a118372) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 26984) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2025-04-16 |