| NPI | 1467492314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2006008749) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: GA 054512) |
| 207ZC0500X Pathology Cytopathology (Licence: KS 04-31892) | |
| 207ZC0500X Pathology Cytopathology (Licence: MO 2006008749) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 054512) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 04-31892) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-12 |