| NPI | 1679569404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0104X Pathology, Chemical Pathology (Licence: GA 81251) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: MI 4301074759) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MI 4301074759) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-08-16 |