NPI | 1003053901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301111956) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301111956) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2023-11-02 |