| NPI | 1578586301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: CA A56481) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A56481) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A56481) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-12-12 |