| NPI | 1174782676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R2444) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MA 276739) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 276739) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125051820) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-10-19 |