| NPI | 1073537429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX J0829) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: TX J0829) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: TX J0829) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-06-30 |