| NPI | 1548603921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A131935) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A131935) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: CA A131935) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: CA A131935) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-03-13 |