| NPI | 1225261506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301500359) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A125969) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD447719) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 33269) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2023-11-20 |