| NPI | 1336342971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101245009) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: VA 0101245009) |
| 207ZH0000X Pathology, Hematology (Licence: VA 0101245009) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-07-21 |