| NPI | 1700235793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 71350) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MN 71350) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-12-28 |