| NPI | 1275687527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 242710) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: MA 242710) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-08-24 |