| NPI | 1467589572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: FL ME159015) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 223573-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-01-20 |