| NPI | 1366507519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: AZ 005152) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: TX J4393) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AZ 5151) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-01-22 |