| NPI | 1194714519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: CT 043464) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CT 043464) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-04-06 |