| NPI | 1588195911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 342369) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: LA 342369) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: LA 342369) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-11-01 |