| NPI | 1982921342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD476354) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: PA MD476354) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT196556) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2022-03-16 |