| NPI | 1902878069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: FL ME35456) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: FL ME35456) |
| 207ZD0900X Pathology Dermatopathology (Licence: FL ME35456) | |
| 207ZF0201X Pathology Forensic Pathology (Licence: FL ME35456) | |
| 207ZH0000X Pathology Hematology (Licence: FL ME35456) | |
| 207ZI0100X Pathology Immunopathology (Licence: FL ME35456) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: FL ME35456) | |
| 207ZN0500X Pathology Neuropathology (Licence: FL ME35456) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |