NPI | 1245234616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX H7953) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: TX H7953) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2022-10-25 |