| NPI | 1508094566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: MO 2015016388) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: KS 04-38123) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-08-05 |