| NPI | 1205092509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WV 24513) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: WV 24513) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-08-09 |