| NPI | 1992898464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MN 43422) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: IA 34672) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: SD 5040) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 44481) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-06-17 |