| NPI | 1871757690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: IA MD-41958) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-41958) |
| 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: IA MD-41958) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-09-08 |