| NPI | 1528416534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME153913) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 66714) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MN 66714) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 008291) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-08-25 |