| NPI | 1093910606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: RI MD15414) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA L-232504) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A121170) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-10-07 |