| NPI | 1245227230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 21515) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: LA 21515) |
| 207ZH0000X Pathology, Hematology (Licence: LA 21515) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-03-07 |