| NPI | 1912431941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 12093950-1205) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: UT 12093950-1205) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-04-14 |