| NPI | 1104909704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ME 018126) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC LL 26947) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT192410) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-02-22 |