| NPI | 1194929778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX N1414) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX N1414) |
| 207ZH0000X Pathology, Hematology (Licence: TX N1414) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-09-22 |