| NPI | 1558351437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 78559) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME004673) |
| 207ZC0500X Pathology, Cytopathology (Licence: FL ME004673) | |
| 207ZH0000X Pathology, Hematology (Licence: FL ME004673) | |
| 207ZI0100X Pathology, Immunopathology (Licence: FL ME0046703) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME004673) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: FL ME0046703) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: FL ME004673) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME004673) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-10-14 |