NPI | 1306265186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD20000097) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: DC MD20000097) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2021-07-13 |