| NPI | 1346223716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 242125) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 242125) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MA 205990) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MA 205990) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-01-24 |