| NPI | 1942407291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 201200359) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 069453) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 33214) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-04-01 |