| NPI | 1275699696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE C1-0010372) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD436080) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0076305) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08764400) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT186357) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-11-16 |