| NPI | 1346227873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NM 94-182) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NM 94-182) |
| 207ZH0000X Pathology, Hematology (Licence: NM 94-182) | |
| 207ZI0100X Pathology, Immunopathology (Licence: NM 94-182) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-06-16 |