| NPI | 1013027804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO 28412) |
| Additional Taxonomies | 207ZM0300X Pathology Medical Microbiology (Licence: CO 28412) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-05-09 |