| NPI | 1184608572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NC 200101386) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NC 200101386) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: SC 96497) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: SC 96497) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2026-03-11 |