NPI | 1003444274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX V6336) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX V6336) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-07-20 |