| NPI | 1639266687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: CO 32243) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CO 32243) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 32243) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |