| NPI | 1407948102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD034930E) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: PA MD034930E) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-09-18 |