| NPI | 1669598769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MN 49723) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 49723) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 49723) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MO 2005015436) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-10-06 |