| NPI | 1851482483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 8783) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 22406) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 049632) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-09-02 |