| NPI | 1437189016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MO 2005037961) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 04-31440) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: KS 04-31440) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |