| NPI | 1528478047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA OP60948312) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID O-1247) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHYS-LIC-76592) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 145806) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR DO192990) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2025-09-30 |