| NPI | 1518942168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.088724) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD440611) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01068477A) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE C1-0002979) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-01-16 |