| NPI | 1184713406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2008-00376) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD29764) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME110975) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 43145) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 26429) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-11-02 |