| NPI | 1962478750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G52225) |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology (Licence: CA G52225) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME60241) | |
| 207ZI0100X Pathology, Immunopathology (Licence: FL ME60241) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000037159) | |
| 207ZI0100X Pathology, Immunopathology (Licence: TN MD0000037159) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-06-20 |