| NPI | 1598074809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 277218) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: NY 277218) |
| 207ZH0000X Pathology Hematology (Licence: NY 277218) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2015-01-29 |