| NPI | 1437728920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 72006) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 31661) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 31661) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-08-22 |