| NPI | 1679731095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: GA 060276) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 060276) |
| 207ZC0500X Pathology Cytopathology (Licence: GA 060276) | |
| 207ZD0900X Pathology Dermatopathology (Licence: GA 060276) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 0431544) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: LA MD.023759) | |
| 207ZC0006X Pathology Clinical Pathology (Licence: GA 60276) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 103627) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD433014) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2010-12-10 |