| NPI | 1467806364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME175124) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: FL ME175124) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2025-08-29 |