| NPI | 1306012554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 63803) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: GA 63803) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2018-11-06 |