| NPI | 1285981043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: MN 46207) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 46207) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2017-03-20 |