| NPI | 1427129725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 53780) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: RI MD11034) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-12-06 |