| NPI | 1073530812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OK 13073) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AR E-0491) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 04-24523) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |