NPI | 1629297320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: CO 51297) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 5402) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 51297) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 61163) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2021-12-28 |