| NPI | 1679894836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C186365) |
| Additional Taxonomies | 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: CA C186365) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MA 254209) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: CA C186365) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA L-244114) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-03-13 |