| NPI | 1205495553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX BP20082612) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10068531) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-06-27 |