| NPI | 1447697602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WI 83081-20) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 35.131314) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-255381) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 83081) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-04-16 |