| NPI | 1225284276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 42303) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 44508) |
| 207ZC0500X Pathology, Cytopathology (Licence: KY 42303) | |
| 207ZH0000X Pathology, Hematology (Licence: KY 42303) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY R1279) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2023-05-03 |