| NPI | 1114448958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MA 287633) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MA 272562) |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2021-09-16 |