| NPI | 1679511869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: ID M4197) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: ID M4197) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |