| NPI | 1689619744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD068350L) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: PA MD068350L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD068350L) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-10-24 |