| NPI | 1013302926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: UT 12764135-1205) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 63257) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-07-08 |