NPI | 1891777686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 3123) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD056634L) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 49350) | |
Enumeration Date | 2005-11-17 |
Last Update Date | 2023-08-25 |