| NPI | 1821263260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZI0100X Pathology Immunopathology (Licence: CA A106073) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: CA A106073) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A106073) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-12-22 |