| NPI | 1124083944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G54149) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA G54149) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-06-11 |