| NPI | 1972845048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology Medical Microbiology (Licence: NY 109623) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 109623) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-12-18 |