| NPI | 1619954351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: VA 0101055117) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ID M9400) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD00044905) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-11-29 |