| NPI | 1184931644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 70732) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: IL 036.142274) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125.060710) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2022-07-21 |