| NPI | 1487736468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 230385) |
| Additional Taxonomies | 207ZI0100X Pathology Immunopathology (Licence: MI 4301046219) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301046219) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-06-05 |