| NPI | 1437655966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: KS 04-49269) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MO 2024015229) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-49269) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 80008-20) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-08-27 |