| NPI | 1194718023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL MD.22814) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 00022814) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MS 18733) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-10-09 |