| NPI | 1518014497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.31610) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2008-0102) |
| 207ZH0000X Pathology, Hematology (Licence: NM MD2008-0102) | |
| 207ZH0000X Pathology, Hematology (Licence: AL MD.31610) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-02-27 |