NPI | 1578943999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 297952) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125-066986) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2019-06-19 |