| NPI | 1295772416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L4157) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX L4157) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-12-19 |