NPI | 1912515099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 36125) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IA MD-54596) |
207ZH0000X Pathology, Hematology (Licence: NE 36125) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE TEP8811) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-54596) | |
Enumeration Date | 2020-07-15 |
Last Update Date | 2025-07-22 |