| NPI | 1700815602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: VA 0101257556) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NH 10424) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2026-09-29 |