| NPI | 1356441893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 070438) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME108479) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 14450) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 238567) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A105580) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 251434) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60216891) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101245494) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2022-01-10 |