| NPI | 1871628529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME99807) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD450189) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 101252138) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 98800) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0069557) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE C1-0010629) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.206637) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09445400) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-03-05 |