| NPI | 1205851649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 46759) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-03-29 |