| NPI | 1508164021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: DC MD047421) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD047421) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-08-16 |