| NPI | 1710959119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME0047146) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: FL ME0047146) |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME0047146) | |
| 207ZD0900X Pathology Dermatopathology (Licence: FL ME0047146) | |
| 207ZH0000X Pathology Hematology (Licence: FL ME0047146) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: FL ME0047146) | |
| 207ZI0100X Pathology Immunopathology (Licence: FL ME0047146) | |
| 207ZN0500X Pathology Neuropathology (Licence: FL ME0047146) | |
| 207ZP0104X Pathology Chemical Pathology (Licence: FL ME0047146) | |
| 207ZP0213X Pathology Pediatric Pathology (Licence: FL ME0047146) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-09-02 |