NPI | 1033563036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MD D0099814) |
Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 291241) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0099814) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 291241) | |
Enumeration Date | 2016-04-16 |
Last Update Date | 2024-05-02 |