| NPI | 1356399216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: FL ME106260) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: WV WV11077) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-03-07 |