| NPI | 1740530534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MD D84001) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MO BB4745785) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-07-21 |