| NPI | 1497978902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 159460) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IL 036.136033) |
| 207ZH0000X Pathology, Hematology (Licence: FL 159460) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: FL 159460) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: IL 036.136033) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.136033) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-02-08 |