| NPI | 1144292780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MN 46872) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: MN 46872) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MN 46872) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-10-06 |