| NPI | 1144342544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 34183) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO DR.0051654) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME110833) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-12-26 |