| NPI | 1225042047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME55558) |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology (Licence: FL ME55558) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-03-02 |