| NPI | 1720518186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL OS17393) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP731) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 227750) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 17393) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-04-21 |