| NPI | 1730302324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL me-86352) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA md-048584) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA md-a80547) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |