| NPI | 1467555987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: VA 0101059208) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: AZ 29968) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: CO DR41625) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MD D23914) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME86147) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: GA 050869) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MN 1003) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-06-02 |