| NPI | 1114581097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: PA MD482610) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: PA MD482610) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-03-22 |