| NPI | 1144430190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: KS 04-40271) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: IA R-7960) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-21 |