| NPI | 1558416826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD60682158) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: WA MD60682158) |
| 207ZH0000X Pathology Hematology (Licence: AK 208013) | |
| 207ZH0000X Pathology Hematology (Licence: MT MEDPHYSLIC122491) | |
| 207ZH0000X Pathology Hematology (Licence: ID M-17221) | |
| 207ZH0000X Pathology Hematology (Licence: OR MD214022) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSLIC122491) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AK 208013) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ID M-17221) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD214022) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-08-29 |