| NPI | 1770566259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX K9022) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 4304) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 208a9257) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL os9574) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 056529) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 36114426) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD H63230) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 1906) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 192182) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 4345) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS005290L) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 58676861204) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-02-02 |