| NPI | 1558981449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A196381) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: CA A196381) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-08-13 |