| NPI | 1841589397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NC 2014-01982) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NC 2014-01982) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2014-01982) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-03-30 |