| NPI | 1922233758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: UT 8483431-1205) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 253078) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 8483431-1205) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: UT 8483431-1205) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2023-08-30 |