| NPI | 1891704094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A 85809) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: CA A 85809) |
| 207ZH0000X Pathology Hematology (Licence: TX M8861) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX M8861) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-25 |