| NPI | 1497853550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX G0584) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 25132) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 24263) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |