| NPI | 1942372875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MA 235265) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 222586) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-02-23 |