| NPI | 1245367457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD045879-L) |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology (Licence: PA MD045879-L) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-05-30 |