| NPI | 1427184134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 27112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G53874) |
| 207R00000X Internal Medicine (Licence: NY 243275) | |
| 207R00000X Internal Medicine (Licence: WA 60153757) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA G53874) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 243275) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WA 60153757) | |
| 207ZH0000X Pathology, Hematology (Licence: CA G53874) | |
| 207ZH0000X Pathology, Hematology (Licence: NY 243275) | |
| 207ZH0000X Pathology, Hematology (Licence: WA 60153757) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-40809) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G53874) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 243275) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60153757) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-07-21 |