| NPI | 1770510828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ND 11821) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MN 53972) |
| 207ZH0000X Pathology, Hematology (Licence: ND 11821) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 27375) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-09-06 |