| NPI | 1144549544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO DR.0055321) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: CO DR.0055321) |
| 207ZC0006X Pathology Clinical Pathology (Licence: CO DR.0055321) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2018-11-29 |