| NPI | 1861409542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 2880) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NV 2880) |
| 207ZH0000X Pathology, Hematology (Licence: NV 2880) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-04-12 |