| NPI | 1669465589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.7939) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 7939) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 18506) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-10-16 |