| NPI | 1134457708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A99392) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: CA A99392) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |