| NPI | 1740354760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: FL ME 105528) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL TRN 7817) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-04-19 |