| NPI | 1861655508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 52143) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2018-00980) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P5492) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A130104) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-11-18 |