| NPI | 1831150069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 19722) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NC 19722) |
| 207ZM0300X Pathology Medical Microbiology (Licence: NC 19722) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-09-28 |