| NPI | 1194732644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G47156) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA G47156) |
| 207ZI0100X Pathology, Immunopathology (Licence: CA G47156) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-06-20 |