| NPI | 1467680223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IA MD-50747) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: VA 0101239483) |
| 207ZH0000X Pathology Hematology (Licence: IA MD-50747) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-03-02 |