| NPI | 1750402319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: OR MD14646)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD14646)  | 
| Enumeration Date | 2007-04-02 | 
| Last Update Date | 2008-05-14 |