| NPI | 1184721854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX U1372) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MN 63008) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 6284873-1205) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A84145) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2023-10-24 |