| NPI | 1235148404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MA 153834) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 153834) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2007-08-20 |