| NPI | 1982623930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 23899) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-30748) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 22164) | |
| 207ZH0000X Pathology, Hematology (Licence: OK 23899) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: OK 23899) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-08-13 |