| NPI | 1164410965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: IA 27127) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IA 27127) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-12-04 |