| NPI | 1033521976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 66823) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD463401) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 73119-20) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-08-28 |