| NPI | 1457689069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TN MD47273) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: TN 47273) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-03-21 |