| NPI | 1467429720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: FL ME75579) |
| Additional Taxonomies | 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: FL ME75579) |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME75579) | |
| 207ZH0000X Pathology Hematology (Licence: FL ME75579) | |
| 207ZI0100X Pathology Immunopathology (Licence: FL ME75579) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: FL ME75579) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME75579) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 022259) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-08-06 |