NPI | 1982028379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MA 277235) |
Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MA 255867) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2019-02-14 |