| NPI | 1184187627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 313919) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: MN 73840) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-08-19 |