| NPI | 1457609190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: TX R3489) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IA R-10640) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IA R-10640) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-03-17 |