| NPI | 1861487068 |
|---|---|
| Former Name | ACHMAD WIBOWO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.068054) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2023-01-27 |