| NPI | 1083871206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 19726) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-6143) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD 202106) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2013-01-08 |