NPI | 1346223716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 242125) |
Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 242125) |
207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MA 205990) | |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MA 205990) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-01-24 |