| NPI | 1891929931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A117332) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 229771) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 265294-1) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME113849) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2013-09-05 |