| NPI | 1104063064 |
|---|---|
| Other Name | ICYNTH BARON GABRIEL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA06275100) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |