| NPI | 1497089874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2015-01982) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NV 17362) |
| 207ZH0000X Pathology, Hematology (Licence: NV 17362) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2018-08-24 |