| NPI | 1134271232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A86418) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: CA A86418) |
| 207ZH0000X Pathology, Hematology (Licence: CA A86418) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A86418) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-03-13 |