| NPI | 1700858990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 33538) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 33538) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-10-06 |