| NPI | 1053338657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 44997) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MA 44997) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-05-13 |