| NPI | 1396951661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: IA MD-44252) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IA MD-44252) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301083466) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-07-21 |