| NPI | 1790262426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2024-01159) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT209264) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 71220) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-03-24 |