| NPI | 1558473140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 42271) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MA 42271) |
| 207ZI0100X Pathology, Immunopathology (Licence: MA 42271) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-06 |