| NPI | 1932105913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A21288) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A21288) |
| 207ZH0000X Pathology, Hematology (Licence: CA A21288) | |
| 207ZI0100X Pathology, Immunopathology (Licence: CA A21288) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A21288) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-11-21 |