| NPI | 1649498767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MN 54477) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MN 105589) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NH RT 1702) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-10-06 |