| NPI | 1841346525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL NA) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM md2009-0457) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 6940834-1205) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-09-28 |