| NPI | 1992708028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 34617) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: TN 34617) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2025-01-27 |