| NPI | 1689899601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-8164) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 58530) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A105477) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 49316) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-07-03 |