| NPI | 1356369045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L3931) |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology (Licence: TX l3931) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-02-02 |