NPI | 1932105913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A21288) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A21288) |
207ZH0000X Pathology, Hematology (Licence: CA A21288) | |
207ZI0100X Pathology, Immunopathology (Licence: CA A21288) | |
207ZP0101X Pathology, Anatomic Pathology (Licence: CA A21288) | |
Enumeration Date | 2005-06-23 |
Last Update Date | 2019-11-21 |