| NPI | 1780838995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD437304) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 243302) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 117570) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-11-28 |