| NPI | 1841275781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35-060998G) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: OH 35-060998G) |
| 207ZC0500X Pathology Cytopathology (Licence: GA 034354) | |
| 207ZC0500X Pathology Cytopathology (Licence: TX L8705) | |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME90450) | |
| 207ZC0500X Pathology Cytopathology (Licence: PA MD421664) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: GA 034354) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: TX L8705) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME90450) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD421664) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-12-05 |