| NPI | 1750403499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OH 123488) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME100567) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-06-18 |