| NPI | 1275595456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WI 45293) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: WI 45293) |
| 207ZI0100X Pathology, Immunopathology (Licence: WI 45293) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 45293) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2021-01-20 |