| NPI | 1003301318 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 82832) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301506128) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301115084) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 82832) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-11-21 |