| NPI | 1720038045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME0091077) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME0091077) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-05-22 |