NPI | 1871677989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TN MD40126) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD40126) |
207ZC0006X Pathology, Clinical Pathology (Licence: TN MD40126) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-03-29 |