| NPI | 1669416806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: HI 11148) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: HI 11148) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: HI 11148) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-05-15 |