NPI | 1447411012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 63976) |
Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: RI LP01341) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2021-11-23 |