| NPI | 1518936228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 81119-20) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 68802) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036.164695) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 81119) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.164695) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 46515) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-08-21 |