| NPI | 1174869952 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 40263) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.097469) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2022002918) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 7152A) | |
| Enumeration Date | 2012-12-23 |
| Last Update Date | 2023-02-02 |