| NPI | 1881616241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 296540) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: NY 296540) |
| 207ZH0000X Pathology, Hematology (Licence: OK 23736) | |
| 207ZH0000X Pathology, Hematology (Licence: PA MD072950L) | |
| 207ZI0100X Pathology, Immunopathology (Licence: NY 296540) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 296540) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 23736) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD072950L) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 296540) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-11-16 |