NPI | 1093708109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.149188) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 220279) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 220279) | |
Enumeration Date | 2005-08-24 |
Last Update Date | 2023-08-16 |