| NPI | 1881034171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: MN 58142) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 58142) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 58142) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-08-25 |