| NPI | 1215102249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 251409) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MA 251409) |
| 207ZH0000X Pathology, Hematology (Licence: MA 251409) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2023-05-30 |