| NPI | 1770519555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 04-35950) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2004029637) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: KS 04-35950) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MO 2004029637) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2004029637) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2004029637) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-06-19 |