| NPI | 1134181324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX M0071) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 216993) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX M0071) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 216993) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 216993) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX M0071) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2025-08-26 |