| NPI | 1245639475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MI 4301106264) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MI 4301106264) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2019-09-26 |