| NPI | 1699902130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301104136) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-240264) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301104136) | |
| 207ZH0000X Pathology, Hematology (Licence: MI 4301104136) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2013-11-25 |