| NPI | 1194780478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 023679) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: GA 023679) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-08-31 |