| NPI | 1578776787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX J0466) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: CA C52134) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: CA C52134) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C52134) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-10-02 |