| NPI | 1144263195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: RI MD10455) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: RI MD10455) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |