| NPI | 1245378223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: WA MD60373985) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: WA MD60373985) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-08-29 |