NPI | 1548883606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI DO01271) |
Additional Taxonomies | 208D00000X General Practice (Licence: RI DO01271) |
Enumeration Date | 2020-05-24 |
Last Update Date | 2023-06-24 |