| NPI | 1871912998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WI 65714-20) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036157199) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 65714-20) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 65714-20) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-10-20 |