| NPI | 1619905916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME125595) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VT 042-0016854) |
| 207ZH0000X Pathology, Hematology (Licence: MS 15953) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD207455) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.37466) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.147410) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-03-12 |