| NPI | 1982995650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A124424) |
| Additional Taxonomies | 207ZC0008X Pathology Clinical Informatics (Licence: CA S-21-444) |
| 207ZH0000X Pathology Hematology (Licence: CA S-16-377) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: CA S-17-427) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2025-06-17 |