| NPI | 1902852239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0091999) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R9435) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME 98596) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2011-00052) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD036095) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-06-22 |