| NPI | 1972582930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL OS0006623) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL OS6623) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2014-11-05 |