| NPI | 1528497070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 34.011209) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 34.011209) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OH 34.011209) | |
| 207ZH0000X Pathology, Hematology (Licence: OH 34.011209) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2025-07-23 |