| NPI | 1780975342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CT 52532) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: CT 52532) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2025-08-18 |