| NPI | 1285610204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MN 35698) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 35698) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 35698) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-01-11 |