| NPI | 1366838831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 57980) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01092443A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP529) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 32402) | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2024-02-29 |