| NPI | 1215993951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX 43573) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CO 35196) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CO 35196) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-09-06 |