| NPI | 1952401242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NM 96-109) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: NM 96-109) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-08-29 |