| NPI | 1013044981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C42871) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA C42871) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-09-11 |