NPI | 1003260019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: OK 37640) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 37640) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2023-11-29 |