| NPI | 1598183170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 65731) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101263661) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 39108) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-03-21 |