NPI | 1093135519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: UT 10748481-1205) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60474407) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2018-03-17 |