| NPI | 1659694735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD.169500) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A102681) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 46100) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD.60491105) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-04-17 |