| NPI | 1063469807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 49520) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 49520) |
| 208000000X Pediatrics (Licence: MO 2004029285) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-11 |