| NPI | 1851607063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 53301) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NC 20001176) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2022-06-07 |