| NPI | 1528060522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MS 17079) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: MS 17079) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-10-27 |