| NPI | 1043289135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 18201) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: CO 18201) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-01-30 |