| NPI | 1801970900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 46205) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD16417) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD34491) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-12-04 |