| NPI | 1619119278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV DO1882) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A11579) |
| 207ZH0000X Pathology, Hematology (Licence: AZ 006473) | |
| 207ZH0000X Pathology, Hematology (Licence: CA 20A11579) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 20A11579) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2020-09-24 |