| NPI | 1811943574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 222460) | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2003018923) | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 1777) | |
| Enumeration Date | 2006-05-25 | 
| Last Update Date | 2025-10-01 |