| NPI | 1386832640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301072180) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A64990) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME115636) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-09-19 |