| NPI | 1073621918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 06257092) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 60257092) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-04-07 |