NPI | 1528063237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 117089) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 117089) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 117089) | |
Enumeration Date | 2005-06-17 |
Last Update Date | 2019-10-09 |