| NPI | 1902991961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: CA A54082) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: CA A54082) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A54082) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-11-18 |