NPI | 1629153457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WA MD00044358) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD00044358) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-11-28 |