| NPI | 1679542138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: IA 40766) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: TX L0838) |
| 207ZH0000X Pathology, Hematology (Licence: IA 40766) | |
| 207ZI0100X Pathology, Immunopathology (Licence: IA 40766) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-02-20 |