| NPI | 1659354561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CT 020118) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CT 020118) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-04-06 |