| NPI | 1750313045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ND 11627) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A65678) |
| 207ZH0000X Pathology Hematology (Licence: CA A65678) | |
| 207RH0000X Internal Medicine Hematology (Licence: ND 11627) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-10-23 |