| NPI | 1710075668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD011141E) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD011141E) |
| 207ZH0000X Pathology, Hematology (Licence: PA MD011141E) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-07-15 |