| NPI | 1972583102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 1304) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 1857) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 05-28923) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 5101012103) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 6623) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 5101012103) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2026-08-26 |