| NPI | 1346358249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QI0000X Spec/Tech, Pathology, Immunology |
| Additional Taxonomies | 246QM0900X Spec/Tech, Pathology, Microbiology |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |