| NPI | 1881854107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 6099496-1205) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: AZ 47301) |
| 207ZH0000X Pathology, Hematology (Licence: UT 6099496-1205) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-12-20 |