| NPI | 1295723070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZI0100X Pathology Immunopathology (Licence: IA 23060) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA 23060) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IA 23060) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-12-19 |