| NPI | 1689616823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: CA A69339) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NC 2007-01792) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A69339) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2007-01792) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-05-18 |