NPI | 1568889129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 323461) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC DO034544) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 69675) | |
Enumeration Date | 2014-03-20 |
Last Update Date | 2023-09-27 |