NPI | 1528176682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 160893) |
Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 160893) |
207ZC0500X Pathology, Cytopathology (Licence: NY 160893) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2023-03-21 |