NPI | 1003041849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 47049) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: KY 47049) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2016-04-05 |