| NPI | 1922084904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 40690) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 29578) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 40690) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2008-10-31 |