| NPI | 1942490156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology Medical Microbiology (Licence: IA 40493) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MO 2007015201) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IA 40493) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-08-10 |