| NPI | 1013232859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: CA C183081) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MI 4301114228) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301114228) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2022-11-03 |