| NPI | 1700950094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0061772) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHY-LIC-68985) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 32229) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 12117A) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-03-24 |