NPI | 1811193857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHYS-LIC-52429) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 49744) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P3517) | |
207ZP0213X Pathology, Pediatric Pathology (Licence: TX P3517) | |
207ZH0000X Pathology, Hematology (Licence: MT MED-PHYS-LIC-52429) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2017-05-06 |