| NPI | 1568437259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD045072E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD045072E) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2010-03-26 |