| NPI | 1306008602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME 112471) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MT192720) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD444608) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-05-28 |