| NPI | 1235259953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN MD0000035246) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01046322A) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME83353) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |