| NPI | 1992376677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: MN 79446) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2021020584) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2025-05-30 |