| NPI | 1700976339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0056498) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: CO DR.0056498) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: UT 174345-1205) | |
| 207ZC0500X Pathology, Cytopathology (Licence: CO DR.0056498) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-10-28 |