| NPI | 1831127653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G037224) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA G037224) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G037224) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G037224) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-03-12 |