NPI | 1386006310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-49821) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IA MD-49821) |
207ZC0500X Pathology, Cytopathology (Licence: AR E-14321) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-14321) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY IP1521) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-09-16 |