| NPI | 1922070259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL me49555) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME49555) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL me49555) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-09-17 |