NPI | 1114410875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD19925) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A-177937) |
207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A-177937) | |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-07-08 |