| NPI | 1609030238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.47916) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT181505) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.205319) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q9983) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-01-16 |