| NPI | 1508822693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology Medical Microbiology (Licence: FL 2291515) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL 2291515) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |