| NPI | 1952527640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 36215) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-4688) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 173539-1205) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-072568) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 23326) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-31574) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |