| NPI | 1992794143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MO 35102) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: KS 04-18667) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 35102) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-18667) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |