NPI | 1003895061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME53338) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME53338) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101034544) | |
Enumeration Date | 2006-01-10 |
Last Update Date | 2011-05-09 |