| NPI | 1861750424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0073579) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: IA DO-04827) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: IA DO-04827) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA DO-04827) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2024-08-06 |