| NPI | 1972740744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NH 17115) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 17115) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A105865) | |
| 207ZH0000X Pathology, Hematology (Licence: CA A105865) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NM RS2014-0413) | |
| 207ZH0000X Pathology, Hematology (Licence: NH 17115) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2015-08-04 |