NPI | 1619506987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A193996) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A193996) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA A193996) | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-08-28 |