| NPI | 1811947294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: GA 042149) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: GA 042149) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |