| NPI | 1871577304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 99-00765) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NC 99-00765) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-08-19 |