| NPI | 1588632426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 24751) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 45166) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 45166) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-02-01 |