| NPI | 1134180094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX J5061) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM 94425) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 22817) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: CO 22817) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: NM 94425) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: TX J5061) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO 22817) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NM 94425) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX J5061) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2019-11-26 |