| NPI | 1891885380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: OR MD202871) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OR MD202871) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AR C-7459) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AR C-7459) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-01-15 |