| NPI | 1386828523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QM0900X Spec/Tech, Pathology, Microbiology |
| Additional Taxonomies | 246QI0000X Spec/Tech, Pathology, Immunology |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |