| NPI | 1871664953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZI0100X Pathology, Immunopathology (Licence: MO MD35365) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO MD35365) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |