| NPI | 1205922424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 198128-1) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 1981281) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 198128-1) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 198128-1) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-09-28 |