| NPI | 1801584529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: UT 14281276-1205) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 77533) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 39) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-07-08 |