| NPI | 1487220646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: IA MD-51646) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IA MD-51646) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-07-08 |