| NPI | 1285609180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: DC MD048409) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD071765L) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: DC MD048409) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-03 |