| NPI | 1871727354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 33548) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL TRN13583) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME116774) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2014-10-08 |