| NPI | 1265404768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 044666) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: GA 044666) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: GA 044666) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-01-22 |