| NPI | 1699788943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CO 35920) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: CO 35920) |
| 207ZP0104X Pathology Chemical Pathology (Licence: CO 35920) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-01-02 |