| NPI | 1023065406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: MO 36270) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: MO 36270) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 36270) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-06-23 |