| NPI | 1417047903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR E-2869) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: AR E-2869) |
| 207ZH0000X Pathology Hematology (Licence: AR E-2869) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-03-06 |