| NPI | 1780774273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: AR E-4124) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: TX P9038) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR E-4124) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-03-21 |