| NPI | 1871572651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME50460) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME50460) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: FL ME50460) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-07 |