| NPI | 1275131229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management (Licence: NY 016532) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NY LIUXD3) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |