| NPI | 1952563389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2011010491) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD435958) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-35322) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-04-20 |