| NPI | 1437113487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VA 0101033451) |
| Additional Taxonomies | 207ZM0300X Pathology Medical Microbiology (Licence: VA 0101033451) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-03-06 |