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 |