| NPI | 1386999175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: CA A170955) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IA MD-42245) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A170955) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-03-14 |