| NPI | 1619967718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MO R6A73) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: KS 0418569) |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: HI MD12472) | |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: NY BRECR2) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: MO R6A73) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: KS 0418569) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: HI MD12472) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: NY BRECR2) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO R6A73) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 0418569) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: HI MD12472) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY BRECR2) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |