| NPI | 1043728918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: MI UNKNOWN) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MI UNKNOWN) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2018-06-27 |