| NPI | 1902864846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 027049) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: GA 027049) |
| 207R00000X Internal Medicine (Licence: GA 027049) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-08-11 |