| NPI | 1619194560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: RI DO00627) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NC 2019-02503) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI DO00627) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2019-02503) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-10-17 |