| NPI | 1104147123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301111664) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: MI 4301111664) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036119773) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2017-03-21 |