| NPI | 1396131140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A143984) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A143984) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A143984) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-03-13 |