| NPI | 1982153755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: VA 0101237001) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: VA 0101237001) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |