| NPI | 1093135519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: UT 10748481-1205) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60474407) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-03-17 |