| NPI | 1497162978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME132232) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: PA MD453582) |
| 207ZH0000X Pathology, Hematology (Licence: PA MD453582) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD453582) | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2022-07-21 |