| NPI | 1326022609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX L8983) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CT 35128) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: LA 15422R) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 151067) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD D42571) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 22447) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 66042) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 10066) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VA 101050308) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-03-07 |