NPI | 1003202565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 898997) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 29425) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D86090) | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2024-01-02 |