| NPI | 1598965782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301090350) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301090350) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A 108482) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2009-08-11 |