| NPI | 1437555935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 10350622-1205) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A117961) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: UT 10350622-1205) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-08-02 |