| NPI | 1730343930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301108473) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2014-01236) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC MD36887) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2011037784) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-03-30 |