| NPI | 1033435706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: TN 53551) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: TN 53551) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CT 53005) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-07-01 |