| NPI | 1346454295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: UT 12066641-1205) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MI 4301103351) |
| 207ZI0100X Pathology, Immunopathology (Licence: MI 4301103351) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301103351) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-11-29 |