| NPI | 1255434783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: OK 21011) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: VA 0101238346) |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME65063) | |
| 207ZC0500X Pathology Cytopathology (Licence: OK 21011) | |
| 207ZC0500X Pathology Cytopathology (Licence: CT 040770) | |
| 207ZC0500X Pathology Cytopathology (Licence: NC 200501805) | |
| 207ZC0500X Pathology Cytopathology (Licence: TN 40308) | |
| 207ZC0500X Pathology Cytopathology (Licence: GA 057750) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: VA 0101238346) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME65063) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: CT 040770) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: NC 200501805) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: TN 40308) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: GA 057750) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: NV 12064) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-08-20 |