| NPI | 1417121815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: OH 35.091182) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IN 01068761A) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2017-03-30 |