| NPI | 1750342218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MO 2013013226) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2013013226) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX K0806) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-06-06 |