| NPI | 1184756744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 226469) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301082639) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2003079560) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35082813) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-03-17 |