| NPI | 1093036162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD61062009) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01068194A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036122845) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 55604) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-07-08 |