NPI | 1093910606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: RI MD15414) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-232504) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA A121170) | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-10-07 |