| NPI | 1871016709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AL MD.45499) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.144110) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 68462) | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-06-14 |