| NPI | 1700976339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CO DR.0056498) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: UT 174345-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-04-05 |