| NPI | 1063940567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A161098) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A161098) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MT 126552) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 70175) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ID MC-2097) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NV 23693) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD61437787) | |
| Enumeration Date | 2017-05-27 |
| Last Update Date | 2024-09-19 |