| NPI | 1003880436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: IA 38291) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD426062) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-07-09 |