| NPI | 1467569103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX F5375) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C52355) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C52355) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: ME 009580) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-07-25 |