| NPI | 1134237142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: HI MD2382) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD2382) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |