| NPI | 1073995130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD206531) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WY 12800A) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 7516) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 11262207-1205) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ID M-15126) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2022-07-21 |