| NPI | 1588708960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: UT 9347417-1204) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NV DO1987) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2015-06-04 |