| NPI | 1770826703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WI 3314) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN 69314) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MS 32596) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35C.001054) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036.166281) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 82730) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AZ 71721) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI EMC0003759) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-03-04 |