| NPI | 1437415239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX V6428) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 281566) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01086891A) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME134352) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-05-27 |