| NPI | 1437286036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD00048355) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: WA MD00048355) |
| 207Q00000X Family Medicine (Licence: CA C143678) | |
| 207ZH0000X Pathology Hematology (Licence: ID M-8886) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C143678) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ID M-8886) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD172513) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-05-10 |