| NPI | 1740701846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: WI 74480-20) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MO 2017022157) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-05-24 |