| NPI | 1770149189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: FL S-06-196) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: FL S-07-235) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL 05-074) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-12-09 |