| NPI | 1851521314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD456884) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD456884) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2019-10-28 |