| NPI | 1811087323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MN 30034) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MN 30034) |
| 207ZP0104X Pathology Chemical Pathology (Licence: MN 30034) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-05-04 |