| NPI | 1346218120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 101101) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX M7144) |
| 207ZH0000X Pathology, Hematology (Licence: FL 101101) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-11-11 |