| NPI | 1881836872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 64760) |
| Additional Taxonomies | 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: MN 64760) |
| 207ZH0000X Pathology, Hematology (Licence: MN 64760) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D78874) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-10-06 |