| NPI | 1144407099 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 277996)  | 
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 277996)  | 
| 207ZI0100X Pathology, Immunopathology (Licence: NY 277996)  | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 277996)  | |
| Enumeration Date | 2008-01-23 | 
| Last Update Date | 2024-09-13 |