| NPI | 1417026832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD18279) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MN 49092) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 49092) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: MN 49092) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-03-29 |