| NPI | 1669508826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G56192) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA G56192) |
| 207R00000X Internal Medicine (Licence: CA G56192) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G55192) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2024-03-13 |