| NPI | 1922447838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS018582) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA OS018582) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA RTP 006124) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-12-20 |