| NPI | 1932220340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: AK 7351) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: AK 7351) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-02-15 |