| NPI | 1821408923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A138931) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A138931) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A138931) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-03-13 |