| NPI | 1508979295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 13113) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A88126) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI 13358) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 37873) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-03-22 |