| NPI | 1053699348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: UT 9282062-1205) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 16403) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 9282062-1205) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-12-01 |