| NPI | 1609944149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR md09508) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OR md09508) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-09 |