| NPI | 1649493651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 19242) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 121750) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 055686) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-23181) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.15611R) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L8164) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G86104) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 040814) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 222739-1) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |