| NPI | 1679809230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 23468) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: OR MD157630) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD157630) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2015-11-17 |