| NPI | 1700994431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME86586) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: FL ME86586) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-03-11 |