| NPI | 1568400851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MA 159101) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CT 047360) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 159101) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CT 047360) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-11-05 |