| NPI | 1629119847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60750062) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA C147069) |
| 207ZH0000X Pathology, Hematology (Licence: MT MED-PHYS-LIC-58559) | |
| 207ZH0000X Pathology, Hematology (Licence: AK 122835) | |
| 207ZH0000X Pathology, Hematology (Licence: OK 24466) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID M-13860) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 122835) | |
| 207ZH0000X Pathology, Hematology (Licence: ID M-13860) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHYS-LIC-58559) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 24466) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C147069) | |
| 207ZH0000X Pathology, Hematology (Licence: OR MD186582) | |
| 207ZH0000X Pathology, Hematology (Licence: WA MD60750062) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD186582) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-10-01 |