| NPI | 1568501575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2023-00754) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NC 2023-00754) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME161657) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-08-24 |