| NPI | 1588648794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: AL MD.35612) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL 144013) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: GA 87109) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: MD D0055313) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101222881) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2022-08-26 |