| NPI | 1134324833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 45949) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: AZ 45949) |
| 207ZH0000X Pathology, Hematology (Licence: HI MD-14379) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD-14379) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-04-16 |