| NPI | 1831489301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 27615) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MS 27615) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101257463) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-11-15 |