| NPI | 1275826141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: KY 51530) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: KY 51530) |
| 207ZM0300X Pathology, Medical Microbiology (Licence: KY 51530) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-06-07 |