| NPI | 1982709481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA C30744) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: CA C30744) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-09-11 |