NPI | 1528479144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A152247) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA A152247) |
207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A152247) | |
Enumeration Date | 2014-05-16 |
Last Update Date | 2023-10-27 |