| NPI | 1386062347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A142047) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A142047) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A142047) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2023-08-08 |