| NPI | 1255421855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MD D0104213) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: UT 5247478-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-08-26 |