| NPI | 1386007680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MD d89276) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 82030) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-05-26 |