| NPI | 1932428851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 03020) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 16641) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NV 16641) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 40888) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2020-10-19 |