| NPI | 1528355476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MO 2020019346) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: GA 76166) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 76166) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-07-08 |