| NPI | 1467625293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 62835) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: WI 53417-20) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2021-04-27 |