| NPI | 1043282379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD425251) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 231336) |
| 207ZC0500X Pathology, Cytopathology (Licence: MA 231336) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-09-05 |