| NPI | 1396753158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 38607) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CO 38607) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-12-17 |