| NPI | 1689867673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: DC MD039117) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: DC MD039117) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-04-03 |