| NPI | 1902874373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD422628) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD 422628) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-31 |