| NPI | 1841555356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA G41081) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MD D0048321) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |