| NPI | 1558530329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD428065) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: PA MD428065) |
| 207ZC0500X Pathology Cytopathology (Licence: PA MD428065) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-08-27 |