| NPI | 1962429787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 12544) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-13816) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 10817) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: OK 12544) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-10-02 |