| NPI | 1720060577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101840450) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101840450) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-07-06 |