| NPI | 1295145472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2022-0170) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MD D0087121) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NM MD2022-0170) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-07-17 |