| NPI | 1831105311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME96743) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 057989) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD27504) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-09-30 |