| NPI | 1598753543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: LA 335636) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 256837) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 335636) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 256837) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 256837) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-04-04 |