NPI | 1801320031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: AZ 72827) |
Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: AZ 72827) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2025-07-15 |