| NPI | 1356470710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 223472) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MA 223472) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2008-10-21 |