NPI | 1073929659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 35636) |
Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: FL ME145979) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME145979) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301105054) | |
Enumeration Date | 2014-07-03 |
Last Update Date | 2025-08-18 |