NPI | 1659702553 |
---|---|
Former Name | VITALII SERGEEVICH BORODIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME135873) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME135873) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT201400) | |
Enumeration Date | 2013-12-03 |
Last Update Date | 2023-03-29 |