| NPI | 1619190188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 62881) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 50870-020) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 0432133) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-10-15 |