| NPI | 1750416772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 14756) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 7021) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 014852) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101029722) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000040261) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |