| NPI | 1982991667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI ECM0003115) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2021-0116) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 270985) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036147816) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-05-18 |