| NPI | 1205959475 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 114040)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 23146)  | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-1874)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G63829)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-097720)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 0431136)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01048819A)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SD 5994)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00044754)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 37009)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 25391)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000041798)  | |
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2007-07-08 |