| NPI | 1497098990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MA 286502) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: MO 2017000110) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 286502) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2017000110) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-06-16 |