| NPI | 1043586621 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MD D82856)  | 
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MD D82856)  | 
| 207ZC0006X Pathology, Clinical Pathology (Licence: MD D82856)  | |
| Enumeration Date | 2012-03-28 | 
| Last Update Date | 2024-07-11 |