NPI | 1376832667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: GA 72929) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 72929) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2017-08-22 |