| NPI | 1477536514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: OR MD14061) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: OR MD14061) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-11-19 |