| NPI | 1841249273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 15387) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NE 15387) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-06-24 |