| NPI | 1699747576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 20640) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: NC 20640) |
| 207ZF0201X Pathology Forensic Pathology (Licence: NC 20640) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-05-30 |