| NPI | 1689669947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZI0100X Pathology, Immunopathology (Licence: PA MD040088L) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: PA MD040088L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD040088L) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-10-07 |