| NPI | 1467492520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 45309) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101243461) |
| 207ZH0000X Pathology, Hematology (Licence: VA 0101243461) | |
| 207ZH0000X Pathology, Hematology (Licence: CO 45309) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-06-05 |