| NPI | 1477571685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: LA 12041R) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: LA 12041R) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-07-24 |