| NPI | 1720511496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 65922) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 28423) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-01-23 |