| NPI | 1841685047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A155917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A155917) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A155917) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-03-13 |