| NPI | 1437537412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A111292) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A111292) |
| 207ZH0000X Pathology, Hematology (Licence: CA A111292) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-29 |