| NPI | 1497958979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 61294) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME 110307) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-10-06 |