| NPI | 1205129483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME127770) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME127770) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: GA 76199) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AL 35217) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2026-01-08 |