| NPI | 1649468802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A105341) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: CA A105341) |
| 207ZC0006X Pathology Clinical Pathology (Licence: CA A105341) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: CA A105341) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-03-14 |