| NPI | 1669525432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.022561) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD 022561) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX M5072) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-12-14 |