| NPI | 1003895061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME53338) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME53338) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101034544) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2011-05-09 |