| NPI | 1104144211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q4718) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA DO.000442) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E8492) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10037259) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2022-10-17 |