| NPI | 1083956460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 279687) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 279687) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-07-07 |