| NPI | 1982936522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NC 306220) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX BP20047685) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD15093) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD447746) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10034558) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2021-10-30 |