| NPI | 1831148816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 39161) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 039161) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |