| NPI | 1245457027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 13248) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AZ 13248) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-10-22 |