| NPI | 1497869143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: OH 35083655) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: IN 01058424A) |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: OK 17422) | |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: TX J6062) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |