| NPI | 1144517772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: TX Q8193) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MO 2011014923) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2017-06-13 |