| NPI | 1043208648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZI0100X Pathology Immunopathology (Licence: IA 19093) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA 19093) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-12-18 |