| NPI | 1558564922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: AR E-11763) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AR E-11763) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301089586) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-07-24 |