NPI | 1417567751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AZ 76849) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 76849) |
Enumeration Date | 2020-08-02 |
Last Update Date | 2025-06-13 |