| NPI | 1477530681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME106594) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01057155A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 28958-020) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.079139) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-05-01 |