| NPI | 1821106550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: OK 26339) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: TX BP10030434) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-08-03 |