| NPI | 1134663016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: MN 63339) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: PA MD461345) |
| 207ZC0006X Pathology Clinical Pathology (Licence: PA MD461345) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2021-05-03 |