| NPI | 1356308803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A70912) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A70912) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-09 |