| NPI | 1073559837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD016947E) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD016947E) |
| 207ZI0100X Pathology Immunopathology (Licence: PA MD016947E) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-10-16 |