| NPI | 1487669933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G50493) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G50493) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: CA G50493) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G50493) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-01-13 |