| NPI | 1225081318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60403029) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ID M-12166) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 11878C) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO CDR.206) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 231456) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSLIC6552) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD221947) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-09-19 |