| NPI | 1598744500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME33480) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: FL ME33480) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-10-16 |