NPI | 1558416826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60682158) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 22693) |
207ZH0000X Pathology, Hematology (Licence: NE 22693) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-10-31 |