| NPI | 1942224076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: KY 17589) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: KY 17589) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 17589) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-11-02 |