| NPI | 1043417728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D93387) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD448372) |
| 207ZH0000X Pathology, Hematology (Licence: PA MD448372) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VT 042-0015670) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-04-19 |