| NPI | 1760498265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX M7252) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MI 4301078339) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301078339) | |
| 207ZH0000X Pathology, Hematology (Licence: TX M7252) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-11-22 |