| NPI | 1801880976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MO R3047) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MO R3047) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2025-01-23 |