NPI | 1174919021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S9416) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01089071A) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME138854) | |
Enumeration Date | 2015-04-07 |
Last Update Date | 2024-08-01 |