| NPI | 1265813539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A157677) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125066378) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A157677) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-12-16 |