| NPI | 1154947810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A200419) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MO 2023018845) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-01-06 |