| NPI | 1407024615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0052088) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 23737) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 9266A) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2020-03-24 |