| NPI | 1770519415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX L9031) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L9031) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-10-27 |