NPI | 1376702274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 264087) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 264087) |
207ZC0006X Pathology, Clinical Pathology (Licence: WI 61225) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2023-07-07 |