| NPI | 1871086926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 52376) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 70784) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 244751) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-11-28 |