| NPI | 1144211285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 37653) |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology (Licence: MA 37653) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-12-08 |