| NPI | 1164484697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G24054) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA G24054) |
| 207U00000X Nuclear Medicine (Licence: CA G24054) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-06-26 |