| NPI | 1417925710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 29863) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: CO 29863) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-03-12 |