| NPI | 1487769360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WA MD00046019) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD00046019) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-11-15 |