| NPI | 1255382495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MO R7641) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MO R7641) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MO R7641) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |