| NPI | 1750657383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME123797) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME123797) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-11-30 |