| NPI | 1538323563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC MD35531) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD444791) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.096226) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2013-00780) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2013-10-30 |