NPI | 1255757886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 70322) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 1395) |
208D00000X General Practice (Licence: NE 1395) | |
Enumeration Date | 2014-03-06 |
Last Update Date | 2024-01-10 |