| NPI | 1194774729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON KYU LEE Medical Director Member 616-774-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-08-07 |