| NPI | 1588160485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 337763) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 31618) |
| 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: LA 337763) | |
| 207ZC0500X Pathology, Cytopathology (Licence: MS 31618) | |
| 207ZC0500X Pathology, Cytopathology (Licence: LA 337763) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-08-19 |