| NPI | 1053637157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NM MD2013-0692) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NM RS2010-0368) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2013-0692) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-9624) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM RS2010-0368) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2023-07-11 |