| NPI | 1710935622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: GA 049914) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 049914) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |