| NPI | 1710214820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: AL 38623) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: WI 54826) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IL 036.118124) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: WI 54826) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: IL 036.118124) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2019-09-24 |