| NPI | 1558360495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 119384) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 119384) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 119384) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-02-20 |