| NPI | 1619994522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 25190) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 234887-1) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS T-01353) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |