| NPI | 1427374057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME146671) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 273498-1) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 57250-20) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2023-12-18 |