| NPI | 1841288552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: IA 29870) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IA 29870) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-12-19 |