NPI | 1043746076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN 67167) |
Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: TN 67167) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-03-06 |