| NPI | 1558308270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: RI MD13805) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2002000486) |
| 207ZN0500X Pathology Neuropathology (Licence: MO 2002000486) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MO 2002000486) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: RI MD13805) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-11-19 |