NPI | 1477990125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 20a13264) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA 20a13264) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2017-10-12 |