NPI | 1528231743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A97205) |
Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: CA A97205) |
207ZH0000X Pathology Hematology (Licence: CA A97205) | |
Enumeration Date | 2008-04-09 |
Last Update Date | 2024-03-13 |