| NPI | 1720062862 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-6317) | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 33503) | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G87193) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 43254) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME90882) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 056844) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01038592A) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 15482R) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2005029535) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 200401517) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 27692) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX J9105) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL M.-28763) | |
| Enumeration Date | 2005-12-02 | 
| Last Update Date | 2011-09-29 |