| NPI | 1447217658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 35089690) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01045279A) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-02-12 |