| NPI | 1285726745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101240650) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD-043826-L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 37173) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 39935) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 048090) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 48090) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35-056251) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME74662) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-06-10 |