| NPI | 1467569459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX K6842) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX K6842) |
| 207ZH0000X Pathology, Hematology (Licence: TX K6842) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX K6842) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-01-17 |