| NPI | 1114999133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: TX Q8737) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: TN MD43161) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MA 71383) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2021-07-29 |