| NPI | 1912340589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101275768) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: VA 0101275768) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036147312) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-11-17 |