| NPI | 1487853479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 39614) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IA 39614) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-08-12 |