| NPI | 1194024208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-9268) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: AR E-9268) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2015-08-11 |