| NPI | 1881075398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MI 4301510544) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0063151) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-263493) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-12-20 |