| NPI | 1700899580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ND 11090) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NM MD2004-0577) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2004-0577) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-12-20 |