| NPI | 1013910108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P1660) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 12025) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 37611) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-07-06 |