| NPI | 1295838712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: FL ME93290) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35043001) |
| 207ZC0500X Pathology, Cytopathology (Licence: IA 26763) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME93290) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35043001) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IA 26763) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |