| NPI | 1740591445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD172275) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR PG166408) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301096238) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.206254) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-04-20 |