| NPI | 1326307430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA A136853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201112) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-05-19 |