| NPI | 1538216353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-33937) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MT 11434) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MO 2009024405) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: KS 04-33937) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT 11434) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2009024405) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2026-05-13 |