| NPI | 1639334014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L8828) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX L8828) |
| 207ZM0300X Pathology, Medical Microbiology (Licence: TX L8828) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: TX L8828) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-01-05 |