| NPI | 1356319438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR C4381) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MS 16642) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2001014623) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN 0000036591) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 54240) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 26627) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 26096) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-09 |