| NPI | 1568616084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2018-01704) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY R1436) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-7967) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-07-19 |