| NPI | 1801834528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NM MD2004-0128) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NM MD2004-0128) |
| 207ZH0000X Pathology, Hematology (Licence: NM MD2004-0128) | |
| 207ZI0100X Pathology, Immunopathology (Licence: NM MD2004-0128) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-10-22 |