NPI | 1033269048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC 390200000X) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY TL6801) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101276041) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-05-23 |