| NPI | 1699791681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 320088) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MA 205475) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: MA 205475) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 205475) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 320088) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: NY 320088) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-03-04 |