| NPI | 1740225291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD060527L) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD060527L) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-10-29 |