| NPI | 1982847695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC MD85359) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 241015) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME125355) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 051622) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-02-26 |