| NPI | 1710396239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OH 35133559) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 35133559) |
| 207ZH0000X Pathology, Hematology (Licence: OH 35133559) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2022-03-01 |