| NPI | 1407937840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301071511) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MI 4301071511) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-10-10 |