| NPI | 1073675559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME 76803) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 19838) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01035220A) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-07-21 |