| NPI | 1922326776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL MD.31362) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: AL MD.31362) |
| 207ZH0000X Pathology Hematology (Licence: AL MD.31362) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2017-02-10 |